6 FORAMEN OVALE The foramen ovale is a normal cardiac structure found in all newborns and can be best described as a "door" between the right and left atria. Decreased PVR Decreased pressure in RA/RV Increased SVR Increased pressure in LA/LV Leads to closure within minutes Usually seals by 1 st month of life Ductus Arteriosus Fully functioning lungs More efficient oxygenation Increased PaO2 & prostaglandins help constrict ductus Usually closes within hours CardioVascular adaptation after birth Fetal Circulation Transitional Circulation Neonatal Circulation 6

7 Immediate care of newborn after delivery Ensure that there is a qualified person present that is trained & skilled in newborn resuscitation Ensure the availability of necessary equipment Stimulate while drying the infant Ensure thermoregulation Follow NRP guidelines Can take a newborn up to 12 hours to transition from intra to extra-uterine life APGAR SCORE Provides rapid assessment of newborn s physiologic state & adjustment to extra-uterine life Standardized approach to determine who may need immediate intervention Dr. Virginia Apgar Evaluations are made at 1 and 5 minutes Based on (5) Signs If score is below (7) it is repeated every 5 minutes up to 20 minutes of life as needed. 7

MINI - COURSE On TEMPERATURE CONTROL IN THE NEWBORN Instructions: Read each sheet and answer any questions as honestly as possible The first sheets have four questions to allow you to give your thoughts

Student Objectives Neonatal Emergencies After completing this section the student will be able to: 1. Identify three physiologic and/or anatomic features unique to the newborn 2. List three perinatal factors

Hypothermia in newborn Slide NH-l Newborn baby is a homoeothermic, but his ability to stay warm may easily be overwhelmed by extremes of environmental temperatures. Neonatal hypothermia often due to lack

Prematurity What is prematurity? A baby born before 37 weeks of pregnancy is considered premature. Approximately 12% of all babies are born prematurely. Terms that refer to premature babies are preterm

July 21, 2011 By NeedsFixing [1] To investigating the relationship between cord blood erythropoietin and clinical markers of fetal hypoxia. Abstract Objective: To investigating the relationship between

Thermal protection in neonates Slide NT-1,2,3 Importance of temperature regulation Warmth is one of the basic needs of a newborn baby; it is critical to the baby s survival and well being. Unlike adults,

Common types of congenital heart defects Congenital heart defects are abnormalities that develop before birth. They can occur in the heart's chambers, valves or blood vessels. A baby may be born with only

Hypoplastic Left Heart Syndrome (HLHS) Hypoplastic left heart syndrome (HLHS) is a severe congenital heart defect in which the left side of the heart (mitral valve, left ventricle, aortic valve, and aorta)

Water Birth Online Course Women s Services 1 Water Birth Instructions for Online Class 1. Read through all the slides. 2. Print out the certificate at the end of the slides. 3. Sign and date the certificate.

A8b Resuscitation of a Term Infant with Meconium Staining Karen Wright, PhD, NNP-BC Assistant Professor and Coordinator, Neonatal Nurse Practitioner Program Dept. of Women, Children, and Family Nursing,

Applications of Doppler Ultrasound in Fetal Growth Assessment David Cole Aims The aim of this presentation is to consider the use of Doppler ultrasound to investigate and monitor those pregnancies at risk

Doppler Ultrasound in the Management of Fetal Growth Restriction Chukwuma I. Onyeije, M.D. Atlanta Perinatal Associates 1 For your convenience a copy of this lecture is available for review and download

Chapter 9 The Cardiovascular System Objectives Describe the anatomy of the heart and vascular systems. State the key characteristics of cardiac tissue. Calculate systemic vascular resistance given mean

Objectives Burn Assessment and Management Discuss the mechanisms and complications of a thermal burn, electrical burn and an inhalation burn Explain the factors to consider when determining the severity

Ventilation Perfusion Relationships VENTILATION PERFUSION RATIO Ideally, each alveolus in the lungs would receive the same amount of ventilation and pulmonary capillary blood flow (perfusion). In reality,

Addendum to the NRP Provider Textbook 6 th Edition Recommendations for specific modifications in the Canadian context A subcommittee of the Canadian Neonatal Resuscitation Program (NRP) Steering Committee

Children & Young People s Directorate Procedure/Guidelines/Protocol Checklist & Version Control Sheet 1 Name of Procedure/Guidelines/ Protocol: 2 Purpose of Procedure/ Guidelines/ Protocol: Temperature

This packet is intended for review only Requirements to successfully complete NRP: Completed NRP Pretest is required for admission to the course. Score 84% on the multiplechoice posttest. You may be allowed

Circulatory System and Blood 1. Identify the arteries in the diagram and give one function for each. Y: Common carotid artery: sends oxygenated blood to the brain, provide nutrients. X: Subclavian artery:

Neonatal Medicine and brain injury in the Infant at term Andrew Whitelaw Professor of Neonatal Medicine University of Bristol What do we mean by birth asphyxia Interruption in oxygen delivery to the fetus

Page 1 of 21 GENERAL PATIENT UNIT When assigned to the General Patient unit paramedic student should gain knowledge and experience in the following: 1. Appropriate communication with patients and members

Vascular System The heart can be thought of 2 separate pumps from the right ventricle, blood is pumped at a low pressure to the lungs and then back to the left atria from the left ventricle, blood is pumped

Types of blood vessels The Cardiovascular System (Chapter 21) Principles of Anatomy & Physiology 2008 arteries arterioles capillaries venules veins served by their own blood vessels in the walls The vessel

St. Catherine University SOPHIA Master of Arts in Nursing Theses Nursing 12-2011 Ibuprofen vs. Indomethacin in the Closure of the Patent Ductus Arteriosus (PDA) Bria James St. Catherine University Follow

Oxygenation Chapter 21 Anatomy and Physiology of Breathing Inspiration ~ breathing in Expiration ~ breathing out Ventilation ~ Movement of air in & out of the lungs Respiration ~ exchange of O2 & carbon

CONTROL OF BLOOD FLOW AND BLOOD PRESSURE (Lectures 3b and 4) 63 CONTROL OF BLOOD FLOW 1) REASON: Body needs different levels of nutrient delivery and metabolic removal for differing levels of activities

Body Temperature ١ Dr.Karima Elshamy Faculty of Nursing Mansoura University Egypt ٢ Learning objectives: At the end of this lecture the student should be able to: Define body temperature. Identify sites

Date: July 18, 2014 Page 1 of 5 Obstetrical Emergencies Purpose: To provide the process for the assessment and management of the patient with an obstetrical related emergency. Pre-Medical Control 1. Follow

13 Blood Vessels and Circulation FOCUS: Blood flows from the heart through the arterial blood vessels to capillaries, and from capillaries back to the heart through veins. The pulmonary circulation transports

CHAPTER 1: THE LUNGS AND RESPIRATORY SYSTEM INTRODUCTION Lung cancer affects a life-sustaining system of the body, the respiratory system. The respiratory system is responsible for one of the essential

Common Conditions, Concerns, and Equipment in the NICU Babies in the NICU are carefully monitored because of their health risk. While the following is a comprehensive list of common conditions found in

THERMAL MANAGEMENT A newborn baby is homeothermic, but his ability to maintain his body temperature can be easily overwhelmed by environmental temperatures. Thermal protection of the newborn is a set of

Name: 2161-1 - Page 1 1) Choose the disease that is most closely related to the given phrase. a disease of the bone marrow characterized by uncontrolled production of white blood cells A) meningitis B)

CHAPTER 1 NORMAL VENOUS CIRCULATION Original author: Frank Padberg Abstracted by Teresa L.Carman Introduction The circulatory system is responsible for circulating (moving) blood throughout the body. The

The Family Library Understanding Diabetes What is Diabetes? Diabetes is caused when the body has a problem in making or using insulin. Insulin is a hormone secreted by the pancreas and is needed for the

Diabetic Emergencies Christopher J. Bosche, MD FACEP Diabetes! American Diabetes Association estimates that over 5 million people have diabetes and are unaware of it! Diabetes is the 7 th leading cause